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Understanding your care home admission agreement

Once you have chosen the care home that is right for you or your family member, the next step is the pre-admission process, where you will be given all the information needed to ensure you are fully informed. Then you’ll need to sign an admission agreement. This is an important document that outlines what you can expect from the care home, and what your responsibilities are. Before signing, it’s important to feel fully informed and confident that all your questions have been answered.

What is an admission agreement?

An admission agreement is a legal document between the care home and you, the resident (or your representative). It sets out the responsibilities of both parties, the type of care being provided, and the terms of residency. This includes financial details, services included in your care, and any optional extras you may wish to consider.

What the agreement covers

To help you feel more prepared, here’s an overview of what is typically included in a Bupa care home admission agreement:

  • Level of care to be provided, based on your assessed needs
  • Cost of care, including the daily care charges and any premium accommodation charges
  • What’s included in your standard care, such as meals, nursing support, personal care, and activities
  • Optional extras such as hairdressing, dry cleaning, non-Pharmac funded medication, premium room options, or specialist therapies
  • Responsibilities of the care home, including the services to be provided, respect for rights and privacy, and access to medical services
  • Responsibilities of the resident or their representative, including payment of fees, keeping personal details up to date, participating in care planning, and notifying of changes in circumstances

At Bupa, we do our best to ensure the admission agreement is as clear and easy to understand as possible. If there’s anything you’re unsure about, don’t hesitate to ask. The care home team is there to help, and you can also speak with a support person, lawyer, or aged care advocate if you need extra guidance.

What to discuss before you sign  

Before signing the agreement, you are encouraged to ask questions and talk through the details with the care home team. They are there to help and will be happy to explain what each part means and how it applies to your situation.

Some common questions to ask include:

  • What are the daily and weekly care fees, and how are they calculated?
  • What services are included, and which will incur additional costs?
  • What happens if my needs change over time?
  • How do payments work, and what are the options for covering costs?
  • Can I personalise my room or bring furniture with me?

Many of these answers can be found in our frequently asked questions, but talking about them with the care home general manager at your chosen care home can help to offer extra peace of mind and confidence before you sign. 

It’s perfectly okay to take the agreement away and review it with a trusted family member or adviser before signing. The care home general manager will inform you when you need to return the signed agreement in order to proceed with admission.

You can find further guidance on what to expect in an admission agreement on the New Zealand Government website.

Signing an admission agreement is a key milestone in your care home journey. With clarity around your rights, responsibilities and costs, you can take the next step with confidence.

Next step: Exploring your eligibility for a subsidy

Once you’ve signed your care home admission agreement, the next step is to explore whether you’re eligible for a Residential Care Subsidy to help with the cost of your care. This government support can make a meaningful difference in how your care is funded. In the next section, we’ll guide you through how the subsidy works, who can apply, and how to get started with the application process.

Helpful links and resources

Your care home journey

Step 1

‎ Where to start

We know there’s a lot to consider when a family member or friend starts needing more support with everyday tasks. This guide provides early signs to look out for, such as missed medication, reduced independence, or difficulty keeping up with routines — and offers supportive advice on what to do next. If you’ve noticed a change or decline in a family member or friend a visit to your GP might be your next step.

Step 2

Organising a needs assessment

Before moving into a care home (also known as a rest home), you will need to organise a needs assessment. This may be done by Health NZ Te Whatu Ora or Health NZ funded Needs Assessment and Service Coordination (NASC) agencies. A person may also be assessed by a specialist while a patient in a public hospital. This process helps ensure you or your family member receives the right support, based on expert advice.

As part of the assessment, you will find out:

  • If the person can be safely supported in the community, or;
  • If the person needs long term residential care (in a care home) and;
  • at level of care is needed, for example rest home, hospital or dementia care.

Step 3

Create a personalised action plan

Now that your needs assessment is complete, it’s time to create a personalised action plan. In this guide, we’ll explain how your Needs Assessment and Service Coordination (NASC) coordinator will help you access the services you need, whether that’s help at home, respite care, or a move into a care home (also known as a rest home), and guide you through key legal and financial processes such as designating power of attorney, or applying for a Residential Care Subsidy.

Step 4

Choosing the right care home

Choosing a care home (also known as a rest home) is a big decision, and often one that needs to be made quickly. Whether you’re planning ahead or navigating an urgent situation, this information will help you feel more confident about what to look for, who can support you, and what to expect when visiting a Bupa care home.

Step 6

Explore your eligibility for a residential care subsidy

Once you’ve signed your admission agreement, it’s time to explore your eligibility for the Residential Care Subsidy. In this guide, we will explain what a Residential Care Subsidy is, how to apply, and who can help if you’re unable to complete the process yourself. Understanding your options, and what you’re eligible for, can help with peace of mind and feeling prepared moving forward.

Step 7

Moving in

Moving into a care home (also known as a rest home) is a big step for you and your family/whānau. In this guide, we’ll walk you through what to expect on moving day, what to bring with you, and how the team will help you settle in.

From making your room feel like home, to meeting new people and staying connected with family and friends, we’re here to support you

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